Abstract
Objective: Learning the critical elements that should be
included in a comprehensive measure reflecting the key concepts
underlying asthma self-management for adolescents is important to ensure
the transfer of optimal care to adolescents. This review identifies and
evaluates adolescent self-reported measures for asthma management in
experimental and quasi-experimental studies. Data Sources:
Eighteen studies were identified using CINAHL, Nursing Allied Health
Prevention, Medline, ProQuest, and PubMed databases. Search terms were
based on the National Library of Medical subject headings (MeSH terms)
and Preferred Reporting Items for Systematic Reviews and Meta-Analysis
(PRISMA) guidelines. Study Selections: Studies included were
peer-reviewed and published in English between 2010-2022. Experimental
and quasi-experimental studies that used asthma measures for children
and adolescents between 10 and 19 years old were considered to identify
high-quality, validated measures. Results: In total, 18 studies
were included, comprised of 14 experimental and four quasi-experimental.
This review revealed six major concepts: quality of life, disease
control, self-efficacy, knowledge, attitudes, and asthma
self-management. The review found an apparent heterogeneity of measures
and a deficiency of comprehensive measurements focused on actual ASM
behaviors. Conclusion: A comprehensive measure was not
uncovered; therefore, the development of a reliable and valid
comprehensive asthma measure is necessary to assess adolescents’ asthma
self-management abilities and to evaluate the essential components of
educational interventions. In terms of assessment and evaluation,
research studies and clinical practices would greatly benefit from a
standardized measure that encompasses the identified major concepts.